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° 293�5`7
DEPARTMENT/OFflCE/COUNCR�- " ' � DATE INPTfA7ED ' � � ' � �
GREEN $HEE
� , '"L �� , � . � . . � ' ., iNiTiAVOATE iN1T1ALIDAiE
COftTAC( PERSON & PHONE, i , ' " f pEpARSMEM D19EGTOR � CiTY COUNCIL
� ' 1_J
���� C[NATTORNEY ' CITY CIERK
�ry: Christine Rozek '- :26b-9108 � ❑ C�
MUST eE`qN COUNCIL AGEN�b BY (DAtE) , pp��, � BUDGET DIqECTOf � FlN. 8 MGT. SERVICES UIR.
.,. 7( � I� ���.. � MAYOW (OR ASSISSANT} �
Hain v
TOTAL # OF SIGNATURE PAGES (CLU? ALL.LOCA"i'IONS FOR SIGNATURE} . �
ACiION REQt{ESiED: . > _. . • . �
Lon D. Boote DBA Friends o£ Animal Adogtipns, Inc. requests Couacil approval
of his appl:ication for a new Gambling Manag'er`s License, ID $12239, at The New Frontier,
230 Front Avenug.. ,.. - „ ,. ,
"" flECOMMENOATfONS: Appcova (A) w Reject (i� " '
. �PENSONAL SEBVICE CONTRACTS MUST ANSWER THE FOLLOWING QUESTIONS:
_ PLANNIWG CqMMfSSfON � _ CIVI� SERVICE COMMISSION �• H� ��s Oerso�rm ever worketl under a coniract for ihis tlepartment?
_ C16 C�0.AMITfEE . _ YES NO
� _ STAfF 2. Mas this perspn/firm ever baen a city employee?
- — VES NO
�, _ oisraiCi cOURr _ 3. Daes this pereaMirm possess a skifl not normslry possessed
by any curreM cdy employee?
. SUPPQRTSWHICHCQUNCILOBIECTIVE? YE$ NO �
Expiai� ail yes answers on separate sheet and attach to-green sheet
. t . � ��� r
AUG 3 1995
�GES IF NOT
AOUNTQETR'ANSACTIQN�S " � .-COSTIREME YES,'., .NO � .� �
. ,� „-d .,.... . , , .. ,nc _ ,
SOURCE �- <AC7NPJYNUMBER
3FORn�g3�orr t�aEnidl" � � � . � , .
k.; � v �* i'�:
� � s . ab« -, r �� , a+4 .tE ,<a `
,..c .n�'v " ,�, .,z. �fn� .;G 3,
d.,x... 4;T .,� .�.� �.du,..,r`4:.iJ�.�ds'vv v�ntnws .� ...,: �..,r. ..,��r..�,`Si�v."k��n�"v v�� t. _ ,n i IPII ��� b"
Greensheet # 29357
!n Trackef?
L.I.E.P. REVIEIN CHECKLfST Date: / �� ��/
App'n P�ceived / Processed
LiCense)D # 12239 New GamblinQ Manager`s License
Company Name: Lon D. Foote DBA: Fri nd of An�mal Adop 'onG Tnc.
Business Addresss: 230 Front Ave. (The New Frontier) Business Phone: 739-8512
Contaet NameJAddress: 2785 Robinwood Wav Home Phone: 739-8512
Woodbury, MN 55125
Date to Cou�cil Research: f
Pubiic Hea�ing Date: �i �� � i S S
Notice Sent to
Notice Serrt to Public:
Date Inspections
City Attorney
Errvironmentai
Health
Fre
License
'olice
ming
� �Z�'f'�i5�
a.., j'�'
�'):�
��� �� 5
���
/`-'��
Labels Ordered:
District Council #: 06
Ward #: OS
Comments
V �
,�c�.� ��ec�,
Site Plan Receivetl:�
Lease Received:
�/����
al C__
,�� � ��
LG 12 � � � � � - � � FOH6pFiCE USE ONLY -
(tin�o) Minnesota La�fui GambIing FeE �
Gambling Manager Application pqKE
�N�r 9 .��
F,
L•�'
Membership; pate gambGng manager became a member of the organiza5on ,,,_I,Lt�
FR.1
loca0onofVaining P'�M$2=ltb�
iGh)
Sax: �M.ale ❑Femat�
O Renewal Give data o1 va;ning raaeived wiD�in Wrea yeara prior to tha dare ol tAe application for �enewal. ^/ I
Location of vaininp
(���r1
mvst
managar.
Name of insuranca company {da �ot use agency namey ��_ S.dr�/ CQ, 8ond Number �$�O�Q r j
•• A S15,OJ0 taz bond in lavor ol �he state ot Minrresou must be obtained by the organization. The originat copy must be submfued
with fhls pppllwtion.
Name ot insvranca company �do not use agenry namej _ ��A Bond Numper��
��..,..,.,.�,�,,.,.,...,. ................................._.............. __._....
i have read this appGcadon and ail infortna6on submiaed to che board; '
A!( in(ortrtaqon is tru¢, accuraie and wmpiete;
All other rcpuired inlormacon has been fully dsclosed;
1 am the on!y gambfing managar o! if�e orqanixa8on;
1 w�il fa^�itiar.ze mysell with the laws ol ASnnesota govemi.�g Iawfvi gambling and rNes o1 the boar6 a�C ag+ee, if Iicensed, to
abide by wcie :aws and r�!es, incluCing amendmen3 to c�e�;
Any �hsn9es in apyica;{on inlom:a;ion will bp tubmined a ne board and Ioeal 9ovemmant w�Lhin i0 +wys ol :he chsnys:
An a'Sc.'avit for gambling mana9er has baen compiateC and a;ac`i90.
Failure to prcviCe req�ired iniormation or provlding Ialse infcrmacion may re¢vit in the deaial or tevocaoon of the Iicense.
�t��� �'��Q �-�`
the instruc;ions for the teGuired aC,achmenis znd fee,
Deparlmenf c( Gaming
Gambling Conlrol DlNslon
Rosewood Ptaza South, 3rd Floor
7771 W. County Road B
Roseville, MN 55113
/ci �if �d r-�.s� � -a � -Ab ia�s y
� New Give date ?at gambling mana9ar seminar was completod, �D !�l�,0